| Coira Institute Pa | |
|
9 Post Rd Ste M2 Oakland NJ 07436-1619 | |
| (201) 904-2230 | |
| (201) 904-2232 |
| Full Name | Coira Institute Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9 Post Rd Ste M2, Oakland, New Jersey |
| Authorized Official Name and Position | Diego L Coira (OWNER) |
| Authorized Official Contact | 2013471447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coira Institute Pa 9 Post Rd Ste M2 Oakland NJ 07436-1619 Ph: (201) 904-2230 | Coira Institute Pa 9 Post Rd Ste M2 Oakland NJ 07436-1619 Ph: (201) 904-2230 |
| NPI Number | 1548773922 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 08/04/2020 |
| Certification Date | 08/04/2020 |
| Medicare PECOS PAC ID | 3476816323 |
|---|---|
| Medicare Enrollment ID | O20180406001235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548773922 | NPI | - | NPPES |
| PENDING | Medicaid | NJ | |
| 1750336038 | Other | NJ | PENDING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MA62941 (New Jersey) | Primary |
| Provider Name | Diego L Coira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750336038 PECOS PAC ID: 1254300171 Enrollment ID: I20040928000756 |
| Provider Name | Margaret W Grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902033095 PECOS PAC ID: 5698997492 Enrollment ID: I20141111002138 |
| Provider Name | Tamkeen Lally |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487941183 PECOS PAC ID: 6901198548 Enrollment ID: I20160630000665 |
| Provider Name | Jerry Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467869727 PECOS PAC ID: 4385910280 Enrollment ID: I20171020000737 |
| Provider Name | Adriana C Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629421052 PECOS PAC ID: 0345505343 Enrollment ID: I20180522001622 |
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